Surgical Planning Laboratory - Brigham & Women's Hospital - Boston, Massachusetts USA - a teaching affiliate of Harvard Medical School

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An Integrated Visualization System for Surgical Planning and Guidance using Image Fusion and an Open MR

Institution:
Artificial Intelligence Laboratory, Massachusetts Institute of Technology, Cambridge, MA, USA. gering@ai.mit.edu
Publisher:
J Magn Reson Imaging
Publication Date:
Jun-2001
Volume Number:
13
Issue Number:
6
Pages:
967-75
Citation:
J Magn Reson Imaging. 2001 Jun;13(6):967-75.
PubMed ID:
11382961
Appears in Collections:
SPL, NAC, NCIGT, SLICER, SNR
Sponsors:
P41 RR013218/RR/NCRR NIH HHS/United States
P01 CA067165/CA/NCI NIH HHS/United States
R01 RR011747/RR/NCRR NIH HHS/United States
Generated Citation:
Gering D.T., Nabavi A., Kikinis R., Hata N., O'Donnell L., Grimson W.E.L., Jolesz F.A., Black P.M., Wells III W.M. An Integrated Visualization System for Surgical Planning and Guidance using Image Fusion and an Open MR. J Magn Reson Imaging. 2001 Jun;13(6):967-75. PMID: 11382961.
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A surgical guidance and visualization system is presented, which uniquely integrates capabilities for data analysis and on-line interventional guidance into the setting of interventional MRI. Various pre-operative scans (T1- and T2-weighted MRI, MR angiography, and functional MRI (fMRI)) are fused and automatically aligned with the operating field of the interventional MR system. Both pre-surgical and intra-operative data may be segmented to generate three-dimensional surface models of key anatomical and functional structures. Models are combined in a three-dimensional scene along with reformatted slices that are driven by a tracked surgical device. Thus, pre-operative data augments interventional imaging to expedite tissue characterization and precise localization and targeting. As the surgery progresses, and anatomical changes subsequently reduce the relevance of pre-operative data, interventional data is refreshed for software navigation in true real time. The system has been applied in 45 neurosurgical cases and found to have beneficial utility for planning and guidance.

Additional Material
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Gering-jmri-2001-fig2.jpg (479.346kB)